| 脾切除加断流术对门静脉血液流变学的影响 |
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| 引用本文： | 史多琦,姜德清,曹寅,黄继超,柯群刚. 脾切除加断流术对门静脉血液流变学的影响[J]. 实用全科医学, 2011, 9(6): 854-856 |
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| 作者姓名： | 史多琦 姜德清 曹寅 黄继超 柯群刚 |
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| 作者单位： | 史多琦,曹寅(安徽省蚌埠医学院2008级普外专业,233000);姜德清,黄继超,柯群刚(蚌埠医学院附属连,云港医院普外Ⅱ科,江苏省连云港市,222006) |
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| 摘 要： | 目的探讨脾切除贲门周围血管离断术对门脉高压患者门静脉血液流变学（包括D-二聚体）的影响,以及断流前后门静脉血液流变学的改变与门静脉血栓形成的关系。方法对49例门静脉高压患者行脾切除贲门周围血管离断术（简称脾切断流术）,对手术前后门静脉血液流变学资料进行分析研究,并将术后形成门静脉血栓（PVT）者作为血栓组,未形成PVT者作为非血栓组,比较两组患者手术前后门静脉血液流变学资料的变化。结果①49例患者脾切断流术前后门静脉血液流变学多项指标如：全血低切粘度、血浆粘度、全血低切相对粘度、D-二聚体含量和血小板计数等一定程度升高,差异有统计学意义（P〈0.05）。②术后发现形成门静脉血栓15例,PVT发生率约为30.61%。血栓组断流后门静脉血液流变学多项指标（同上）升高水平高于非血栓组,差异有统计学意义（P〈0.05）。结论脾切除加断流术对门静脉血液流变学有显著影响,主要表现为门静脉血液全血低切粘度、血浆粘度、D-二聚体含量和血小板计数等的升高,且升高水平较高者术后易形成门静脉血栓。
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| 关 键 词： | 门静脉高压 断流术 血液流变学 D-二聚体 门静脉血栓 |
Effect of Peri-Esophagogastric Devascularization with Splenectomy on Portal Venous Haemorheology in Patients with Portal Hypertension |
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| SHI Duo-qi,JIANG De-qing,CAO Yin,et al.. Effect of Peri-Esophagogastric Devascularization with Splenectomy on Portal Venous Haemorheology in Patients with Portal Hypertension[J]. Applied Journal Of General Practice, 2011, 9(6): 854-856 |
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| Authors: | SHI Duo-qi JIANG De-qing CAO Yin et al. |
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| Affiliation: | SHI Duo-qi,JIANG De-qing,CAO Yin,et al.The second Department of General Surgery,Lianyungang Hospital Affiliated Bengbu Medical College,Lianyungang 222006,jiangsu,China |
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| Abstract: | Objective To investigate the effect of peri-esophagogastric devascularization with splenectomyon on the portal venous haemorheology in patients with portal hypertension and the relationships between the changes of preoperative portal venous haemorheology and postoperative portal venous haemorheology and the formation of portal vein thrombus.Methods A total of 49 patients with portal hypertension were operated with peri-esophagogastric devascularization with splenectomy(short for EGDS).The data of the preope... |
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| Keywords: | Portal hypertension Peri-esophagogastric devascularization Haemorheology D-dimer Portal vein thrombosis |
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